A manufacturing method of a seamless metal pipe includes: preparing a plurality of mandrel bars in which lengths of work portions which come into contact with a hollow shell during elongating are different from one another; selecting a mandrel bar including a work portion having a length corresponding to the number of stands used in thickness reduction, among the plurality of mandrel bars; inserting the mandrel bar selected in the selecting into the hollow shell; and performing the elongating on the hollow shell into which the mandrel bar is inserted. Moreover, in the elongating, outer diameter reduction is performed by one of a preceding-stage stand group and a succeeding-stage stand group and the thickness reduction is performed by the other of the preceding-stage stand group and the succeeding-stage stand group, or the thickness reduction is performed by both of the preceding-stage stand group and the succeeding-stage stand group.